Here's a case submitted by a faithful reader who wishes to remain anonymous. He has submitted several cases before and they are always excellent so thank you, Mr. Anonymous! EMS is called to the residence of a 69 year old female who is complaining of sudden onset of shortness of breath and weakness. Past medical […]

Click HERE to check it out! Kudos to the HeartRescue Project for developing this "Save a Life" Simulator! This should go a long way toward preparing lay bystanders for the "shocking" reality of encountering a sudden cardiac arrest in the community. I think this is an excellent tool to leverage through social media so be […]

I was just watching the "podmedic" Jamie Davis interview Physio-Control's VP of Marketing Cam Pollock and noticed another video of Jamie interviewing Ted Setla from Setla Films and First Responders Network about the Code STEMI Web Series. You can watch the first two episodes of the Code STEMI Web Series and all the behind the […]

Click HERE! In this episode Tom Bouthillet sits down with Christopher Granger, M.D., Mayme Lou Roettig, R.N and James Jollis, M.D. from the RACE Program in North Carolina. In the course of our "unplugged" session some incredible insights are developed from one of the highest functioning STEMI systems in the United States! See also: Episode […]

On behalf of Team EMS 12-Lead (Tom Bouthillet, David Baumrind and Christopher Watford) I am pleased to officially acknowledge that the EMS 12-Lead blog won Judges' Choice for 2012 EMS Blog of the Year. This contest was hosted by EMS1, FireRescue1 and FireCritic.com and sponsored by the American Military University. The total list of nominees can be found here. Lots of […]

This is the conclusion to 88 year old male CC: Chest pain. You may wish to go back and review the history and clinical presentation. First, let's look at the rhythm strip. This shows an undetermined regular rhythm at a rate of about 60 with demand ventricular pacing. This is an oversimplification but as long […]

EMS is called to a 88 year old male with a chief complaint of chest discomfort. On arrival the patient meets EMS at the front door. His skin is slightly pale and moist. He appears anxious. Past medical history: "Cardiac", pacemaker, hypertension, dyslipidemia Medications: Numerous, unavailable at the time of EMS evaluation Paramedics lead the […]

Photo credit: Kelly Arashin "Team EMS-12 Lead" (Christopher Watford, Tom Bouthillet and David Baumrind) at the EMS 10 Awards It's been an amazing week at EMS Today 2012! As you probably already know (if you've been following our Facebook page) I won an EMS 10 Award on Wednesday night. I was nominated by our good friend […]

Heading to EMS Today 2012? Then we have an announcement for you! Episode 1 of the Code STEMI Web Series will released at EMS Today 2012 in Baltimore! This is the rural episode that features the emerging system of care in South Dakota and the work of AHA Mission: Lifeline. It includes EMTs, paramedics, nurses, […]

Ken Grauer58 Year Old Male, Workout Worry@ Eli — I don’t see AFlutter. That is, I see no indication of regular atrial activity at a rate consistent with AFlutter. Instead, the rhythm is irregularly irregular without P waves = AFib at a controlled ventricular response. In my opinion, one doesn’t need Sgarbossa criteria here to activate the cath lab. So, yes the…
2018-09-13 02:09:24

Vince DiGiulioIs epinephrine harmful in cardiogenic shock?Sorry about that; I copied the quote from the article and my browser automatically changed the "μ" to an "m". Thanks for noticing, and thanks for pointing it out in the most passive-aggressive manner possible.
2018-09-12 16:45:26

Ken Grauer, MDElectrocardiographically Silent High Lateral STEMI EquivalentHi Tom. This is a great case — so NICE that you posted it for others to learned from. But as I commented several times when you sent this case around to our group — the T waves in V2,V3 are disproportionately peaked and transition occurs early (between V1-to-V2) — so the chest leads are NOT…
2018-08-14 08:38:03

Eli58 Year Old Male, Workout WorryAnybody else see the possibility of a LBBB or A-Flutter? I'm not sure if this will make any difference with the treatments but im just trying to interpret it first because if there is a LBBB then it does not meat Sgarbossa criteria and if it is A-Flutter that could explain the hyper acute T's…
2018-07-20 21:29:21